Treatment Interventions Flashcards
7 cards from real PMH-C practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Treatment Interventions flashcards as text
A clinician is considering antidepressant treatment during the first trimester. Which class of medication is generally considered among the safer options based on existing evidence?
Answer: Selective serotonin reuptake inhibitors (SSRIs)
SSRIs have the most safety data in pregnancy and are generally considered the preferred pharmacological option when treatment is indicated.
Which treatment approach is MOST recommended for a mother with mild-to-moderate postpartum anxiety who prefers to avoid medication?
Answer: CBT with specific focus on anxiety management and parenting stress
CBT targeting anxiety, including worry management and behavioral activation, is effective for mild-to-moderate postpartum anxiety without medication.
When treating perinatal PTSD related to a traumatic birth experience, which evidence-based therapy is most appropriate?
Answer: Trauma-focused CBT or EMDR
Trauma-focused CBT and EMDR are first-line treatments for PTSD, including posttraumatic responses to birth trauma.
A postpartum mother is prescribed an SSRI but reports poor adherence due to concerns about breast milk transfer. The BEST clinician response is to:
Answer: Provide psychoeducation on actual transfer levels and infant safety evidence
Accurate psychoeducation addressing the mother's specific concerns is essential to improving medication adherence while supporting informed decision-making.
Which of the following is a key therapeutic component of mindfulness-based cognitive therapy (MBCT) for perinatal depression?
Answer: Cultivating present-moment awareness to interrupt ruminative thought cycles
MBCT teaches present-moment awareness to interrupt depressive rumination, which is a core mechanism of its effectiveness.
Postpartum psychosis requires which level of care in most cases?
Answer: Inpatient psychiatric hospitalization
Postpartum psychosis is a psychiatric emergency requiring inpatient hospitalization due to risks of harm to self, infant, or others.
Which statement BEST describes the use of benzodiazepines in breastfeeding mothers with perinatal anxiety?
Answer: They are generally avoided as first-line agents but may be used short-term with careful monitoring
Benzodiazepines are not first-line in breastfeeding but may be used cautiously short-term when benefits outweigh risks, with infant monitoring.